Apr 2, 2013

Endoscopic ultrasonographic access and drainage of the common bile duct

Gastrointestinal Endoscopy Clinics of North America
Savreet SarkariaMichel Kahaleh


Endoscopic retrograde cholangiopancreatography (ERCP) is currently the standard of care for biliary drainage. In the hands of experienced endoscopists, conventional ERCP has a failed cannulation rate of 3% to 5%. Failures have traditionally been referred for either percutaneous transhepatic biliary drainage (PTBD) or surgery. Both PTBD and surgery have higher than desirable complication rates. Endoscopic ultrasound-guided biliary drainage (EUS-BD) is a novel and attractive alternative after failed ERCP. Many groups have reported on the feasibility, efficacy, and safety of this technique. This article reviews the indications and technique currently practiced in EUS-BD, including EUS-guided rendezvous, EUS-guided choledochoduodenostomy, and EUS-guided hepaticogastrostomy.

  • References31
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Mentioned in this Paper

Endoscopy (Procedure)
Entire Duct
Diagnostic Radiology Modality
Impacted Tooth
Biliary Tract Structure
Biliary Atresia
Stent, Device

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